Pelvic Pain Symptoms Chart

March 27, 2013

Table 2. Common Diagnoses of the Clinical Manifestations of the Mechanically Induced Pelvic Pain and Organic Dysfunction Syndrome

Pelvic Pain

  • Chronic pelvic pain syndrome
  • Proctalgia (fugax)
  • Pelvic floor myalgia
  • Levator ani syndrome
  • Pudendal neuralgia
  • Pelvic congestion syndrome
  • Endometriosis
  • Vulvodynia
  • Prostatodynia
  • Prostatitis
  • Orchialgia
  • Phallodynia
  • Epididymitis
Bladder Dysfunction

  • Urinary incontinence (stress, urge, mixed, neurogenic, overflow)
  • Urinary retention
  • Interstitial cystitis
  • Non-bacterial/aseptic cystitis
  • Bladder/urinary tract infection
  • Overactive bladder
  • Urethral syndrome
Bowel Dysfunction

  • Chronic/recurrent constipation
  • Chronic/recurrent diarrhea
  • Irritable bowel syndrome
  • Colonic inertia
  • Fecal/anorectal incontinence
Gyn/Sexual Dysfunction

  • Dysmenorrhea
  • Dysfunctional uterine bleeding
  • Leukorrhea
  • Dyspareunia
  • Anorgasmy
  • Inhibited orgasm
  • Erectile dysfunction
  • Impotence

Pelvic Pain Organic Dysfunction Case report 1

March 27, 2013



PPOD Syndrome Diagnoses: metrodynia (deep suprapubic/uterine pain), menometrorrhagia (irregular menstruation), nocturia (having to get up at night to empty the bladder).

A 36-year-old woman was seen for the complaint of pelvic pain. She reported that her pain began approximately three months earlier, its onset having been unrelated to any specific event. The pain was located deep within the pelvis immediately above the pubic region and at times would radiate upward toward her umbilicus.

She additionally noted that if she sat for long periods of time, or, on occasion during movement while changing positions, she would experience a distinct increase in the intensity of her pelvic pain. She stated that when she first became aware of this pain it had a familiar cramping quality and felt as though it was emanating from her uterus and, as a result, she thought it was most likely the result of her impending menstruation.

However, as her menses did not appear as anticipated, and, as over the next week her pelvic pain began to progressively intensify she consulted her gynecologist and underwent a series of tests. A complete gynecologic examination, transvaginal ultrasound and abdominal CT scan were all negative for any type of abnormality that could account for her condition. As a result, in the absence of any specific problem to dictate a specific course of treatment she was given a prescription for medication to ease her pain and advised to return if her condition should change. Of note in her history however, was the fact that she did additionally experience irregular menstruation and, for as long as she could remember, consistently had to get up 1 time every night to go to the bathroom to empty her bladder.

However, she had never considered these issues to be abnormal, problematic or indicative of an underlying problem. In fact, until just recently, despite the irregularity, she had never experienced any significant menstrual or uterine related pain. Interestingly, as is not uncommonly the case in the mechanically induced pelvic pain and organic dysfunction syndrome patient, she had no history of accompanying back pain. Having learned of the author’s expertise in this area, she presented for evaluation of her pelvic pain. Although by comparison hers is a mild case, on examination, she did exhibit clear and absolute evidence of the mechanically induced pelvic pain and organic dysfunction syndrome. Following her first few treatments, she noted a distinct increase in the intensity of her deep uterine pelvic pain, as well as the onset of low back pain. After two weeks of treatment her pelvic pain had completely resolved and her low back pain was diminished.

After four weeks of treatment, she became aware that she was no longer having to awaken from sleep to go to the bathroom at night, something that she had had to do for as long as she could remember. In addition, her low back pain was further diminished. After eight weeks of treatment, all of her complaints had completely resolved and she was able to resume normal activities without pain or difficulty.

Comment: One of the fortunate aspects in this case, was that of having had the opportunity to be involved early on during the syndromes development (as emphasized by a comparison to other more severe cases later), in order to be able to institute proper treatment before such time that the condition worsened to take on additional characteristics, mimicking other disorders, and potentially leading the patient down the path of unnecessary invasive diagnostic procedures and ineffective surgeries. Additionally, of note is the fact that her PPOD related complaints had developed in the absence of any accompanying back pain. It wasn’t until after initiating her treatment (a common effect of the “post-treatment flare”) that transient back pain had developed.


Meet the Doctor behind PPOD – Pelvic Pain Organic Dysfunction

March 27, 2013



Since having received his chiropractic degree in 1981, graduating with honors from Palmer College of Chiropractic, Dr. Browning has been involved in ongoing clinical research with respect to the mechanically induced Pelvic Pain and Organic Dysfunction syndrome. Having devoted nearly 30 years to these efforts, he has published the results of his work in several peer-reviewed journals. In addition, he has lectured on this topic and has delivered numerous presentations addressing various aspects of the recognition, diagnosis, treatment and clinical management of the mechanically induced PPOD syndrome at chiropractic colleges and spinal related research symposiums throughout the US and Canada.

He has contributed a chapter on the PPOD syndrome which appears in the text Somatovisceral Aspects of Chiropractic: An Evidence-Based Approach, published by Churchill Livingstone. In addition, he has authored a book for the general public titled Mechanically Induced Pelvic Pain and Organic Dysfunction: The PPOD Syndrome. A new solution to chronic pelvic pain and the disturbances of bladder, bowel, gynecologic and sexual function that accompany it, published by Outskirts Press Inc.

A board certified chiropractor, Dr. Browning is past president of the International Chiropractic Academy on the Study of Back Pain and a certified impairment examiner. He is a Diplomate of the National Board of Chiropractic Examiners and has held professional affiliations with the American Chiropractic Association, ACA Council on Neurology, ACA Council on Orthopedics, International Academy of Chiropractic Industrial Consultants and Foundation for Chiropractic Education and Research. Through his contributions in this area, he has become recognized as the leading authority on the mechanically induced Pelvic Pain and Organic Dysfunction syndrome, and as a result, has the honor of having served patients who have traveled from all regions of the US and overseas, some traveling from as far away as Hong Kong.

As a result of this work, he has developed an effective non-surgical treatment approach for the mechanically induced Pelvic Pain and Organic Dysfunction syndrome patient that utilizes a type of spinal manipulation as the core therapeutic procedure. Dr. Browning has utilized this approach in helping many individuals regain control of their lives and recover from the devastating effects of the mechanically induced PPOD syndrome. While the effectiveness of this therapeutic approach can be seen by the response of the patients in the case reports presented elsewhere on this website, it has been further demonstrated by the results of a university pilot study which were sufficiently impressive to obtain funding through the National Institute of Health’s Office of Alternative Medicine and the National Institute of Arthritis, Musculoskeletal and Skin Diseases for a full scale randomized clinical trial.

As the procedures utilized in the care of the PPOD syndrome patient are inherently noninvasive, and the therapeutic protocols that have been developed are designed to minimize the potential of adverse effects, the vast majority of patients under Dr. Browning’s care have tolerated their treatment extremely well. And, in fact, in no instance has anyone under Dr. Browning’s care experienced any significant adverse side effect or complication. As a result, patients being treated at the Browning Pelvic Pain and Organic Dysfunction Treatment Center can be assured that they will be receiving cutting edge treatment by a knowledgeable, skilled and experienced clinician.


Suffering from Chronic Pelvic Pain? You’ve found the solution to your problems.

March 27, 2013



The Browning Pelvic Pain and Organic Dysfunction Treatment Center in Northport, Michigan, is the world’s first and only in-patient residential care center specializing in a revolutionary new non-surgical treatment for the Pelvic Pain and Organic Dysfunction (PPOD) syndrome patient.


These disorders represent some of the commonly encountered clinical manifestations of the mechanically induced Pelvic Pain and Organic Dysfunction syndrome. Caused by an “atypical”, “occult” or “asymptomatic” mechanical disorder of the spine, the PPOD syndrome manifests itself not as a typical spinal disorder with the usual symptoms of back and leg pain, but rather in a wide range of seemingly unrelated complaints of chronic pelvic pain and various disturbances of bladder, bowel, gynecologic and sexual function (see case reports for a more detailed description and response to treatment).


Given the nature of the symptoms that develop and their propensity for mimicking other pelvic problems, the PPOD syndrome is routinely misdiagnosed as some type of internal pelvic disorder. As a result, those afflicted are routinely subjected to repeated diagnostic evaluations, multiple surgeries and a host of other therapeutic procedures by one specialist after another, only to find that despite having undergone extensive evaluation and treatment there is little or no improvement in their condition. Because of its capacity to mimic other disorders and the obscure nature of the underlying condition, the PPOD syndrome commonly eludes identification by doctor after doctor, year after year, all the while concealing the fact that the underlying problem is one of spinal origin.


Having devoted nearly 30 years to the study of the mechanically induced PPOD syndrome patient,
Dr. James Browning has developed and refined innovative diagnostic and therapeutic protocols that have proven to be extremely effective at identifying and successfully treating the PPOD syndrome patient. Many individuals, who had all but given up after exhausting what they were led to believe were all therapeutic options, have regained control of their lives by fully recovering from the devastating effects of the PPOD syndrome with Dr. Browning’s help.


Might you be a PPOD syndrome patient? Complete this quick and simple questionnaire and find out.


Would you like to speak with a real PPOD syndrome patient? Someone who, probably like you, had suffered for many years despite having seen doctor after doctor and specialist after specialist. Kristen C., a prior PPOD syndrome patient is happy to take your call to share her experiences and answer any questions you may have about her condition and undergoing treatment by Dr. Browning. She can be reached at 304 680 4674 (EST).